Faʻafitauli o le neurologic taulaʻi

O le faʻatamaiaʻi o le neurologic deficit o se faʻafitauli i le neula, tuaula, poʻo le faiʻai gaioiga. E afaina ai se nofoaga faʻapitoa, pei o le itu agavale o foliga, lima taumatau, poʻo se tamaʻi vaega pei o le laulaufaiva. O le tautala, vaʻai, ma faʻafofoga faʻafitauli e taʻua foi o le le atoatoa o le mafaufau.

O le ituaiga, nofoaga, ma le ogaoga o le faʻafitauli e mafai ona taʻu mai ai le itu o le faiʻai poʻo le neula ua aafia.

I se faʻatusatusaga, o se le-taulaʻi faʻafitauli e L specific faʻapitoa i se tasi vaega o le faiʻai. E ono aofia ai le leiloa lautele o le mafaufau poʻo faʻafitauli tau lagona.

O se faʻafitauli ogaoga o neura e ono aʻafia ai nisi o nei galuega:

• Faagaioiga suiga, e aofia ai supa, vaivaiga, leiloa o maso puleaina, faateleina maso maso, leiloa o maso maso, po o gaioiga o se tagata e le mafai ona taofiofia (gaioiga ofo fua, pei o le gatete)
• Suiga lagona, e aofia ai paresthesia (lagona le masani ai), leai se mafaufau, pe paʻu i lagona

Isi faʻataʻitaʻiga o le faʻamamaina o le leiloa o galuega e aofia ai:

• Horner syndrome: tamaititi aʻoga i le tasi itu, tasi le itu o mata o loʻo toʻulu, leai se afu i le tasi itu o foliga, ma le magoto o le tasi mata i totonu o lona mataʻupu.
• Le faʻalogo i lou siʻosiʻomaga poʻo se vaega o le tino (faʻatamala)
• Leiloa o le faʻamaopoopoina poʻo le leiloa o lelei pulea afi (agavaʻa e faia laʻasaga faigata)
• Le lelei gag reflex, folo faafaigata, ma le fetinaʻi soo
• Tautala poʻo gagana faigata, pei o aphasia (a faʻafitauli malamalama poʻo le gaosia o upu) poʻo le disarthria (o se faʻafitauli faia leo o upu), le lelei faʻailoaina, le malamalama i le tautala, faigata tusitusi, leai se agavaʻa e faitau pe malamalama tusitusiga, le mafai igoa mea (anomia)
• Vaaiga vaʻai, pei o le faʻaititia o vaʻai, faʻaititia vaʻaiga vaʻaia, faʻafuaseʻi vaʻaia mata, faʻalua faʻaaliga (diplopia)

Soo se mea e faʻaleagaina pe faʻalavelaveina soʻo se vaega o le neula e mafai ona mafua ai se totonugofie neurologic le atoatoa. O faʻataʻitaʻiga e aofia ai:

• Vaʻa toto le masani ai (malepelepe vascular)
• Tumo o le faiʻai
• Supa supa
• Degenerative neivi maʻi (pei o le tele sclerosis)
• Faʻaletonu o le tasi neura poʻo neura kulupu (faʻataʻitaʻiga, carpal tunnel syndrome)
• Faʻamaʻi o le faiʻai (pei ole meningitis poʻo le encephalitis)
• Manua
• Pa

Fale tausiga faʻalagolago i le ituaiga ma mafuaʻaga o le faʻafitauli.

Afai e i ai sau leiloa o gaioiga, lagona, poʻo gaioiga, valaʻau lau fomaʻi tausi soifua.

O lau tautua o le a suʻea lau talaʻaga faʻafomaʻi ma faia se suʻesuʻega o le tino.

O le suʻega faʻaletino o le a aofia ai se auiliiliga suʻesuʻega o lau neula faʻaaoga.

O a suʻega e faia faʻamoemoeina i isi au faʻailoga ma le mafuaʻaga ono mafua ai le leiloa o neula. E faʻataʻitaʻia suʻega e suʻe ai le vaega o le neula e aofia ai. O faʻataʻitaʻiga masani o:

• CT faʻasolosolo i tua, ua, poʻo le ulu
• Electromyogram (EMG), saosaoa conduction velocities (NCV)
• MRI o le tua, ua, poʻo le ulu
• Paʻu tuila

Le lava o le Neurological - taulaʻi

• Faiai

Deluca GC, Griggs RC. Faʻalatalata i le tagata maʻi ma faʻamaʻi neurologic. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 368.

Jankovic J, Mazziotta JC, Newman NJ, Pomeroy SL. Faʻailoaina o faʻamaʻi neula. I: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley ma Daroff's Neurology i Fomaʻi Faʻataʻitaʻi. 8th ed. Filatelefia, PA: Elsevier; 2022: mata 1.